- CRL Technologies (Huntsville, AL)
- …best practices and processes used within PEO AVNDevelop, review, and adjudicate MBSE models across the enterpriseExperience leading IPTs and coordinating across ... multiple stakeholders for MBSE projectsEducation: Master's Degree (desired), Bachelor's Degree (required) from an accredited college or university.Experience: 10+ years of relevant experience.Desired Experience/Education:Experience with AADL.Master's degree… more
- Bombardier (Opa Locka, FL)
- …corrective actions in SAP ensuring that work performed is adequately described to adjudicate warranty and special programs + Review and identify any labor, material, ... billings + Monitor open and yet to be billed pipeline work orders + Adjudicate warranty programs for Bombardier + Interpret, adjudicate , prepare, and invoice… more
- CareOregon (Portland, OR)
- …adjustments/corrections or re-adjudication + Utilize claims payment system to effectively adjudicate medical, dental, and mental health claims, or may re- ... adjudicate or adjustment claims, and generate letters and other...make calls to providers to gather additional information to adjudicate claims timely and effectively + Assist claims examiners… more
- Citizenship and Immigration Services (Tustin, CA)
- …in Los Angeles Asylum Office. As an Asylum Officer, you will adjudicate complex asylum applications, provide guidance to lower-graded officers and analysts who ... adjudicate or screen applications for immigration benefits, and make...advice for meeting or exceeding goals, standards and objectives. Adjudicate complex asylum cases including those involving national security… more
- The Hartford (Lake Mary, FL)
- …model and handle all claims by selecting the proper estimating resource to adjudicate the claim. This position will ensure quality standards are met with vendors ... utilized to adjudicate the claim. Claim File Management + Handle claim files in a manner consistent with Claim quality standards and goals. + Negotiate skillfully in… more
- MassMutual (Springfield, MA)
- …trustees, executors, financial advisors, etc. through email, phone and written correspondence to adjudicate death claims. In this role, as well as all roles within ... set expectations, review claim requirements, and answer claim related questions. + Adjudicate complex claims including but not limited to Trusts, Foreign Deaths,… more
- Veterans Affairs, Veterans Health Administration (IN)
- …interprets laws, VHA guidelines, and other federal agency policies to adjudicate and authorize Veterans' eligibility for enrollment and eligibility for VA ... evidence related to the income verification process necessary to correctly adjudicate cases. OR, Education: Applicants may substitute education for the required… more
- SAIC (Pearl City, HI)
- …and wargame-informed events. **JOB DESCRIPTION:** + Design, develop, facilitate, adjudicate , and analyze wargames, table-top-exercises, and other similar events, ... lead group discussions and game processes during wargames and TTX events. + ** Adjudicate ** : apply wargame rules and methods to determine outcomes of participant… more
- Magellan Health Services (Maryland Heights, MO)
- …edits and suspended claims. + Maintains and updates required reference materials to adjudicate claims. + Provides backup support to other team/group members in the ... the claims. + Utilizes reference materials and analyzes updated materials to adjudicate claims. This includes reviewing material updates daily and sharing feedback… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …for accurate follow-up of claims. Ability to perform complicated calculations to adjudicate accounts appropriately. Ability to analyze & adjudicate contractual ... arrangements as determined by agreements entered into by the Medical Practive Foundation. Reviews remittance codes from EOB-s & R/A-s to ensure payment or to identify denials or non-payment. Responsible for follow up with payor on the routing of claims. Refers… more
